An Innovative Approach to Behaviour Management for Children James Barlow – Area Manager (Hampshire) Dr Anna Randle – Clinical Psychologist Hillcrest Positive Behaviour Support

Hillcrest Positive Behaviour Support (HPBS)  Hillcrest Childrens Services  Bespoke Positive Behaviour Support tailored to young people’s needs Hillcrest Positive Behaviour Support

Behaviour Audit and Training Needs Analysis Hillcrest Positive Behaviour Support

Young Person History Hillcrest Positive Behaviour Support

Regulations and Legislation  Protection of Children Standard  9.58 ‘Those commissioning training in restraint for children’s homes staff should be satisfied that the training fits with their approach to restraint or existing restraint system, and is appropriate to the needs of the children the home is set up to care for’.  BILD Code of Practice 2014 Hillcrest Positive Behaviour Support

Every child needs someone who is crazy about them Hillcrest Positive Behaviour Support

IMPLEMENTATION Four day course upon induction/refresher courses  Module 1: The Care setting  Module 2: Understanding of Behaviour  Module 3: Crisis Prevention  Module 4: Crisis Management  Module 5: Post Crisis Support Hillcrest Positive Behaviour Support

 Insecure Attachment patterns are seen in 80% of maltreated children  Attachment difficulties can be the root cause of behaviour Hillcrest Positive Behaviour Support

 “It’s not what’s wrong with you, it’s what happened to you.” Jim Davis, CEO Veterans for Change. PTSD  Product of what you experience  Don’t miss the person behind the behaviour or the diagnosis Hillcrest Positive Behaviour Support

Trauma Tree Hillcrest Positive Behaviour Support Problem Solving Cognitive Organisation Sensory Fragmentation Fight/Flight/Freeze Hormonal Regulation Attachments Executive Function Affect Regulation Psychological Development Sleep Patterns Muscle Tone & Co- ordination Taste & Texture Preferences and Ability to Digest Heart Rate Breathing DEVELOPMENTAL TRAUMA Brain Development Physical Development The Trauma Tree’s ‘roots’ are in the prolonged neglect, deprivation, loss, abuse, violence, upheaval or any combination of these that the child has experienced in his or her early childhood, fundamentally affecting the development of brain, body and the relationship between them.

TRAUMA  Neil Morrissy – “Being taken away from my parents was the biggest single trauma I went through. I thought I was being placed into care because I was naughty.”  Definition of Trauma – A very distressing or disturbing experience Hillcrest Positive Behaviour Support

The House Model (Golding, 2008)  How does this model differ from other approaches to caring for young people?  What is familiar and unfamiliar about this model? Hillcrest Positive Behaviour Support

Managing Behaviour Whilst Managing Emotion  Empathy first before discipline  Feelings are accepted even if behaviour is not  Management of behaviour needs to be consistent, reliable and predictable  Communicates ‘I am a safe person’  Look for opportunities to keep the young person close even when their behaviour is pushing you away  May need to put space between yourself and young person but without the child feeling rejected  Communicates ‘I can manage my feelings and won’t hurt you with them’  I’ll be back (apologies to Sam) Hillcrest Positive Behaviour Support

Feelings Behaviour Model Hillcrest Positive Behaviour Support

Arousal-Relaxation Cycle Hillcrest Positive Behaviour Support Behaviour: angry, compliant, controlling Anxiety, fear, need for comfort Relief and relaxation Provide support and empathy helping the child to manage the shame and anxiety leading on from the behaviour Just managing the behaviour provides the containment but doesn’t build attachment

What is empathy? Hillcrest Positive Behaviour Support

Empathy  Happens with someone else  Is a quality in which one person understands the perceptions and feelings of another, accepts these perceptions and feelings as belonging to the other person and conveys this understanding and acceptance back to the person.  Recognising hidden needs  Not problem solving straight away! Hillcrest Positive Behaviour Support

Still Face Experiment Hillcrest Positive Behaviour Support

Working with the attitude of PACE  We need to find ways to remain emotionally engaged and available to the young people we work with.  Dan Hughes (2006) suggests a certain attitude (PACE) that you can hold which will help you to maintain a level of emotional engagement with your young person.  Playful - sometimes adopting a playful stance can diffuse a situation and help the YP  Accepting - the feelings behind the behaviour but not the behaviours.  Curious - remaining curious and open about why the YP is behaving as they are.  Empathetic - understanding.  Helps you to attune to your young person. Hillcrest Positive Behaviour Support

Conclusion  Relationships  Whole Organisational Approach  Therapeutic Residential Child Care Diploma and Reflective Practice Hillcrest Positive Behaviour Support

Benefits  Increased attuned relationships  Increase in trust, love and warmth  Increase in placement stability  Reduction in RPI  Reduction in injury  Improved staff knowledge, confidence and morale  Reduced staff turnover Hillcrest Positive Behaviour Support